肝囊型包虫病并发胆管支气管瘘的诊治

Diagnosis and treatment of hepatic cystic echinococcosis complicated with Brocho-biliary fistula

胆管支气管瘘（BBF）是一种异常的病理性胆汁引流通道，临床上比较少见。其病理变化复杂，诊治较为困难，病死率高。目前，临床上对于肝囊型包虫并发胆管支气管瘘的确诊更是一大难题，磁共振胆道造影（MRCP）和经皮肝穿胆道造影（vrc）对其诊断率相对较高。治疗上一般以手术为主。手术治疗因切口的不同分为三种：经腹部、胸部和胸腹联合。目前我们常用的手术途径为单纯腹部切口。这种手术方法创伤小、术后恢复快，并能同时处理腹部和胸部的病灶。

Broncho-biliary fistula （BBF） is an abnor- mal channel for pathological bile drainage, which has very low incidence, high mortality and complex pathology. It is difficult to diagnose and cure this disease. Currently, the diagnosis of hepatic cystic eehinococcosis complicated with brocho-biliary fis- tula is even more diffieuh. The sensitivity of magnetic resonance cholangiopanereatography （MRCP） and percutaneous transhe- patic cholangiography （PTC） is relatively high. The main treat- ment is surgery. Surgical treatment could be divided into the ab- dominal, thoracic and thoraeoabdominal surgery based on the lo- cation of the incision. The common surgical approach is the sim- ple abdominal incision, which is associated with rapid recovery, minimal trauma and the capability of handling the abdomen and chest lesions.